Adding Positive Psychology (PP) to Your Practice

Transcription

1 Adding Positive Psychology (PP) to Your Practice September 15, 2015 Webinar: Pearson Assessments Michael B. Frisch Professor of Psychology at Baylor University Research Fellow of the International Society for Quality of Life Founding Fellow in the Academy of Cognitive Psychotherapy, Aaron T. Beck, Honorary President 1 Outline for Today 2 Webinars What is PP Why add PP PP research How to add PP PP Using QOLI and QOLTC Target Populations for PP PP Tools/Resources 2 WHAT IS POSITIVE PSYCHOLOGY 3 1

2 4 WHY ADD POSITIVE PSYCHOLOGY 5 MBF195 Ill-being vs. Well-being: We re missing half the picture! 6 2

3 1. Redress the Imbalance of Negative Psychology: Aaron T. Beck and David A. Clark Therapists and psychologists have exhibited a depressive thinking style in their theories, research and treatment of psychological disorders. We have tended to focus exclusively on the negative as in symptoms or what s wrong with people Our preoccupation has been the relief of suffering, the alleviation of negative emotions it is clearly not the whole story Improve Health and Well Being Outcomes Treating negative mood will not automatically lead to happiness in our patients. A new and expanded therapeutic perspective is needed that directly addresses issues of happiness, meaning, and contentment. Two goals in Healthcare today: 1. Cure /manage disease, disability, disorder 2. Preserve or enhance clients quality of life, wellbeing, and happiness Beef Up Your Evidence Based Assessments To make progress, we have to measure it. 9 3

4 4. Boost Your Clinical Effectiveness Add a pinch of pp to existing Tx s/meds for : 1. Greater Effectiveness 2. Relapse Prevention essential says Beck, Fava etc Add A Whole New Area of Practice and Source of Income. Coaching Incl: Executive-, Professional-, Organizational- Personal- and Life- Work with high achievers getting them to be happier and more productive Work with a different clientele: those w/o DSM disorders 11 Your Future in Positive Psychology Coaching ippanetwork.org International Coach Federation 12 4

5 6. Enliven Your Own Life and Practice Greater Happiness and Ethics in Your Own Life 13 Rationale for PP: The Trinity of Happiness Benefits 1. BETTER HEALTH and LONGEVITY 2. More REWARDING RELATIONSHIPS 3. GREATER SUCCESS in Work, School, & Retirement Pursuits Those with low QOLI scores are AT RISK for trinity problems 14 MBF214 Longevity: The Nun Study (Danner, Snowdon, et al.) 15 5

6 MBF219 Businesses with Happy Workers Greater productivity and creativity Greater customer loyalty Lower healthcare costs Lower employee turnover [Workers make more $;better liked by customers, clients] 16 POSITIVE PSYCHOLOGY RESEARCH 17 Validation Research Two NIH Trials by James R. Rodrigue of Harvard and Beth Israel Rodrigue and others 2005 Rodrigue and others 2006 Rodrigue and others 2011 Replication in different lab: Abedi, M.R. and Vostanis, P. (2010). Quality of Life Therapy for parents of children with obsessivecompulsive disordersall studies use the QOLI More studies in progress portable defibrillators: Positive Therapy for Autonomic Function & Mood in ICD Patients (PAM-ICD) NCT Veterans Individual Placement and Support Towards Advancing Recovery (VIP-STAR) NCT

7 Results of RCT: From page 2430 of Rodrigue et al. 2005: Several primary findings emerged from this study: 1. A brief, targeted psychological intervention, that is, Quality of Life Therapy, leads to significant improvements in quality of life, mood disturbance, and social intimacy 2. Improvements in quality of life and mood appear to be maintained for as long as 3 months after treatment. 3. While the treatment-as-usual protocol appears to yield some short-term benefits in mood, Quality of Life Therapy was found to be a more effective treatment overall for transplant patients. 19 Contagious to Caregivers Caregivers whose spouses received QOLT reported vicarious gains in quality of life, mood, and social intimacy, relative to those who received the usual or standard intervention involving emotional and educational support. These findings suggest that beneficial effects extend beyond the client to their spouses who are often caregivers. Rodrigue et al. (2006). Caregivers of patients awaiting lung transplantation: Do they benefit when the patient is receiving psychological services? Progress in Transplantation, 16, , pp MBF204 Replication Study: Rodrigue et al. 2011, pp. 709 Quality of Life Therapy while patients wait for KIDNEY transplant The current study found that the Quality of Life Therapy group had superior quality of life outcomes relative to both Supportive Therapy and Standard Care groups. 21 7

8 Summary: Evidence-Based Positive Psychology. 1. Assessment: QOLI or Quality of Life Inventory 2. Intervention: Quality-of-Life-Therapy or Quality of Life Therapy and Coaching Independent Evaluations Marty Seligman s Flourish, pp. 292 & MAPP Rashid & Seligman 2014 PP Textbooks: Carr; Compton & Hoffman Ed Diener Alan Kazdin Robert Biswas-Diener and Ben Dean See Frisch (in press, 2013) 22 Abedi, M.R. and Vostanis, P. (2010). Evaluation of Quality of Life Therapy for parents of children with obsessive-compulsive disorders in Iran. European Child and Adolescent Psychiatry. doi: /s Ben-Porath, Y.S. (1997). Use of personality assessment instruments in empirically guided treatment planning. Psychological Assessment, 9, Biswas-Diener, R. and Dean, B. (2007) Positive Psychology Coaching. Hoboken, NJ: John Wiley and Sons. Biswas-Diener, R. (2010) Practicing Positive Psychology Coaching. Hoboken, NJ: John Wiley and Sons. Clark, D.A. Foreword. (2006). In M.B. Frisch, Quality of Life Therapy: Applying a Life Satisfaction Approach to Positive Psychology and Cognitive Therapy (pp. xi-x). Hoboken, New Jersey: John Wiley & Sons. Clark, D. A., & Beck, A. T. (with Alford, B.) (1999). Scientific foundations of cognitive theory and therapy of depression. New York: Wiley. Clark, M.P. & Mason, T.W. (2001). Implementation of a comprehensive system of program evaluation: The Iowa State University experience. Journal of College Student Development, 42, Crowley, M.J. & Kazdin, A.E. (1998). Evaluation in clinical practice: Critically sensitive and systematic methods of treatment delivery. Journal of Child and Family Studies, 7, Danner, D. D., Snowdon, D. A., & Friesen, W. V. (2001). Positive emotions in early life and longevity: Findings from the nun study. Journal Of Personality And Social Psychology, 80(5), doi: / Danovitch, I. and Endicott, J. (2008). Quality of life measures. In A. J. Rush & H. A. Pincus (Eds.), Handbook of psychiatric measures (2 nd Edition). (pp ). Washington, DC: American Psychiatric Association. Diener, E. Ng, W., Harter, J. & Arora (in press). Wealth and happiness across the world: Material prosperity predicts life evaluation, while psychosocial prosperity predicts positive feeling., Journal of Personality and Social Psychology. 23 Eng, W., Coles, M. C., Heimberg, R. G., & Safren, S. A. (2001a). Quality of life following cognitive behavioral treatment for social anxiety disorder. Depression and Anxiety, 13, Eng, W., Heimberg, R. G., Hart, T. A., Schneider, F. R., & Liebowitz, M. R. (2001b). Attachment in individuals with social anxiety disorder: The relationship among adult attachment styles, social anxiety, and depression. Emotion, 1, Frisch, M.B. (2013). Evidence-Based Well-Being/Positive Psychology Assessment and Intervention with Quality of Life Therapy and Coaching and the Quality of Life Inventory (QOLI). Social Indicators Research, 114, doi: /s Frisch, M.B. (2006). Quality of Life Therapy. Hoboken, NJ: John Wiley & Sons. Frisch, M. B. (1998). Quality of life therapy and assessment in health care. Clinical Psychology: Science and Practice, 5, Frisch, M. B., & Sanford, K. P. (2005). Construct validity and the search for a unidimensional factor solution: Factor analysis of the Quality of Life Inventory in a large clinical sample. Unpublished paper. Baylor University, Waco, TX. Frisch, M. B., Clark, M. P., Rouse, S. V., Rudd, M. D., Paweleck, J., & Greenstone, A. (2005). Predictive and treatment validity of life satisfaction and the Quality of Life Inventory. Assessment, 12(1), Frisch, M. B., Cornell, J., Villanueva, M., & Retzlaff, P. J. (1992). Clinical validation of the Quality of Life Inventory: A measure of life satisfaction for use in treatment planning and outcome assessment. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 4,

9 Frisch, M. B. (1992). Use of the Quality of Life Inventory in problem assessment and treatment planning for cognitive therapy of depression. In A. Freeman & F. Dattilio (Eds.), Comprehensive casebook of cognitive therapy (pp ). New York: Plenum Press. Frisch, M.B. (2009). QUALITY OF LIFE INVENTORY HANDBOOK For Laypersons, Clients, And Coaches. Minneapolis, MN: Pearson, Inc. Frisch, M.B. (1994). QUALITY OF LIFE INVENTORY MANUAL and Treatment Guide. Minneapolis, MN: Pearson, Inc. Furey R. Beyond Feeling Better: Adding Happiness to the Treatment Plan. PsycCRITIQUES [serial online]. 2007;52(5). Furlong, M.J., Gilman, R. & Huebner, E. S. (2014). (Eds.), Handbook of positive psychology in the schools (2nd ed.). New York, NY: Routledge. Grant, G., Salcedo, V., Hynan, L. S., & Frisch, M. B. (1995). Effectiveness of quality of life therapy. Psychological Reports, 76, Greene-Shortridge, T.M. and Odle-Dusseau, H.N. (2009). Quality of life. In S.J. Lopez (Ed.). Encyclopedia Of Positive Psychology (pp ). New York: Wiley- Blackwell. New York: Wiley-Blackwell. Harter, J. K., Schmidt, F. L., & Hayes, T. L. (2002). Business-unit-level relationship between employee satisfaction, employee engagement, and business outcomes: A meta-analysis. Journal of Applied Psychology, 87, Heimberg, R. G. (2002). Cognitive-behavioral therapy for social anxiety disorder: Current status and future directions. Biological Psychiatry, 51, Henning, E., Turk, C., Mennin, D., Fresco, D., & Heimberg, R. (2007). Impairment and quality of life in individuals with generalized anxiety disorder. Depression and Anxiety, 24(5), Judge, T., & Klinger, R. (2008). Job satisfaction: Subjective well-being at work. The science of subjective well-being (pp ). New York, NY US: Guilford Press Kazdin, A. E. (1993). Evaluation in clinical practice: Clinically sensitive and systematic methods of treatment delivery. Behavior Therapy, 24, Kazdin, A. E. (2003). Research design in clinical psychology (4 th ed.). Boston: Allyn & Bacon. Koocher, G.P. & Keith-Spiegel, P. (2008). Ethics in Psychology: Professional standards and cases (3rd Ed.). New York: Oxford University Press. Land, K. C. (2006). Quality of Life Therapy for All!: A review of Frisch s approach to positive psychology, Quality of Life Therapy. SINET (Social Indicators Network News), 85, 1-4. Lyubomirsky, S., King, L., & Diener, E. (2005). Happiness is a good thing: A model of the benefits of chronic positive affect. Psychological Bulletin, 131(6), Magyar-Moe, J.L. (2009). Therapist s Guide to Positive Psychological Interventions. New York: Academic Press. McAlinden, N., & Oei, T. (2006). Validation of the Quality of Life Inventory for patients with anxiety and depression. Comprehensive Psychiatry, 47(4), Mendlowicz, M.V. & Stein, M.B. (2000). Quality of life in individuals with anxiety disorders. American Journal of Psychiatry, 157, Miller, C.A. & Frisch, M.B. (2009). Creating Your Best Life: The Ultimate Life List Guide. New York: Sterling Publishing Co., Inc. 26 Ogles, B. M., Lambert, M., & Masters, K. (1996). Assessing outcome in clinical practice. Boston: Allyn & Bacon. Parks-Shreiner, A. (2009). Applied positive psychology. In S.J. Lopez (Ed.). Encyclopedia Of Positive Psychology (pp ). New York: Wiley-Blackwell. Persons, J. B., & Bertagnolli, A. (1999). Inter-rater reliability of cognitive-behavioral case formulations of depression: A replication. Cognitive Therapy and Research, 23, Peterson, C. (2006a). Back cover. In M.B. Frisch, Quality of Life Therapy: Applying a Life Satisfaction Approach to Positive Psychology and Cognitive Therapy (pp. back cover of book). Hoboken, New Jersey: John Wiley & Sons. Peterson, C., & Rouse, S. (2006). Brief book, software, & test announcements. Journal of Personality Assessment, 87(3), Peterson, Christopher (2006b). A primer in positive psychology; New York, US: Oxford University Press. Peterson, C., & Park, N. (in press). Positive psychology. In B. J. Sadock, V. A. Sadock, & P. Ruiz (Eds.), Comprehensive textbook of psychiatry (9th ed.). Baltimore: Lippincott, Williams, & Wilkins. Peterson, C., Park, N., & Brunwasser, S. M. (in press). Positive therapy. In N. Kazantzis, M. A. Reinecke, & A. Freeman (Eds.), Cognitive behavior therapy: Using theory and philosophy to strengthen science and practice. New York: Guilford. Pope, K.S. & Vasquez, M.J.T. (2007). Ethics in Psychotherapy and Counseling: A Practical Guide. New York: Jossey-Bass. 27 9

10 Rashid, T. & Seligman, M. (2014). Positive psychotherapy (pp. 466; ). In Raymond J. Corsini (Author), Danny Wedding. Current Psychotherapies (10th Ed.). Belmont, CA: Brooks/Cole, Cengage Learning. ISBN: Rodrigue, J. R., Baz, M.A., Widows, M.R., & Ehlers, S.L. (2005). A Randomized Evaluation of Quality of Life Therapy with Patients Awaiting Lung Transplantation. American Journal of Transplantation, 5(10), Rodrigue, J.R., Widows, M.R., & Baz, M.A. (2006). Caregivers of patients awaiting lung transplantation: Do they benefit when the patient is receiving psychological services? Progress in Transplantation, 16, Rodrigue, J.R. Mandelbrot, D.A., and Pavlakis, M. (2011). A psychological intervention to improve quality of life and reduce psychological distress in adults awaiting kidney transplantation. Nephrology Dialysis Transplantation, 26(2): doi: /ndt/gfq382. Safren, S. A., Heimberg, R. G., Brown, E. J., & Holle, C. (1997). Quality of life in social phobia. Depression and Anxiety, 4, Scogin, F., Morthland, M., Kaufman, A., Burgio, L., Chaplin, W., & Kong, G. (2007, December). Improving quality of life in diverse rural older adults: A randomized trial of a psychological treatment. Psychology and Aging, 22(4), Salek, S. (Ed.). (1998). Compendium of quality of life instruments. New York: Wiley. Seligman, M.E.P. (2011). Flourish. New York: Free Press. See pp. 292 for Quality of Life Therapy and Coaching as an evidence-based approach that works. Valois, R.F., Zullig, K.J., Huebner, E.S., Drane, J.W. (2001). Relationship between life satisfaction and violent behaviors among adolescents. American Journal of Health Behavior, 25, HOW TO ADD POSITIVE PSYCHOLOGY 29 How to Add Positive Psychology to Your Practice Give a Well-Being Test Develop Positive Goals Apply EBT Interventions 30 10

11 Positive Psychology USING QOLI and QOLT 31 MBF MBF

12 Sweet 16 Recipe for Joy: 50-80% Basic Needs or Wealths Goals-and-Values Self-Esteem Health Money Relationships Love Friends Relatives Children Activities:Occupations-Avocations Play Work Money Helping Learning Creativity Surroundings Home Neighborhood Community 34 Case of Texas Also in Frisch MBF

13 MBF MBF , biweekly PROGRESS REPORT -Pearson Assessments, All Rights Reserved

14 Texas Interventions Sweet 16 Areas of Life Goals and Values Pre-intervention QOLI I must put aside all my personal goals while I pursue my career and raise my family. Interventions and Outcomes Vision Quest Exercise Life goals for valued areas of the QOLI Self- Esteem Premorbid low from hypercritical mom I m a loser who failed to protect my daughter. I don t deserve PT, therapy, or a lawyer. Success Path: progress toward goals -Reflected in her Journaling My Self-esteem is up. I LIKE ME! I am a pretty good Mother. I stood by Annie. I took the blow for Annie, I m a strong woman, who protected her kid like a cop taking a bullet for the president! Now I know that I can get KNOCKED DOWN by a truck, and survive; that is pretty amazing! I am a strong woman in the face of adversity. 40 Helping I wish I had something here. Helping Routine Exercise-see journal I know that I am here to teach others. This accident presented itself to me for my use. I m here to serve others I see much work to be done. I am not sure where to begin! Schools, sidewalks, crossing guards, city park, recycling, bike paths. SAFETY ADVOCATE w/ husband. cross walks at scene of the crime 41 Work I ve been promoted out of what I love [high flows]. Too much supervising others! I m the token woman on the grievance committee. I d like to mentor girls in science and engineering. Job Enrichment Exercise to make work a Passionate Calling Relationship Skills to re-negotiate duties More graphic design of plane interiors Fewer comm s Company wants a Mentor for comm PR, future employess! Creativity None Pottery class at community college. lunch with instructor, a kind Native Texan, Mother Teresa Learning/ Play Nada. None. My brain is mush. Play List Exercise Go to Baylor s public lectures. EX. Titian, Women s studies, Edvard Munch

15 Friends I have no friends in Texas and have been here eight years. Relationship skill-building Exercises EXPERT friends = transplanted Yankees at YMCA doing well in Bubba-land Texas hobbies: shooting the crap outta stuff at Guns R Us Relatives Love Only call sisters at holidays. Joe,the Plumber, betrayed me. Skypes weekly with Vermont sisters and did a book club, watched Downton Abbey. Emerged in a progress assessment! QOLI Exchange Technique Years in Texas: from 2 years to 10! Shoot guns and advocate together! FAT Time, Favor Bank, McDates 43 Home Cluttered and messy LOVE IT, LEAVE IT OR FIX IT Division of labor Housekeeper Therapy Neighborhood Too conservative. LOVE IT, LEAVE IT OR FIX IT Community Too redneck, conservative LOVE IT, LEAVE IT OR FIX IT learns to ferret out and appreciate the good parts 44 Five Paths to Happiness Instructions: Brainstorm possible solutions under each CASIO strategy for managing or solving a problem or for boosting your fulfillment and satisfaction in a valued area of life. C A S I O Changing Circumstances Changing Attitudes Changing Goals and Standards Changing Priorities or What s Important Boost Satisfaction in Other Areas not Considered Before Basic Strategy: Basic Strategy: Basic Strategy: Basic Strategy: Basic Strategy: Problem Solve to improve situation. Find out what is really happening and what it means for you and your future. Set realistic goals and experiment with raising and lowering standards. What new goals and standards can you come up with? Re-evaluate priorities in life and emphasize what is most important and controllable. Increase satisfaction in any areas you care about for an overall boost to happiness. Texas changed circs by getting out of house, pursuing service, creativity and learning in comm, and making friends Texas changed her attitude with cog restru; I m here to serve others I m a strong woman, who protected her kid like a cop taking a bullet for the president. Texas lowered her Texas decided to standards for money put more priority and increased satis with finances w/o any on self-care and change in income or marriage. Giving wealth! Tree Syndrome. -MOST Fun stuff didn t Balanced life, not cost money! Volunteer work, McDates with just meaningful! honey. Shooting her 50 caliber pistol at GUNS ARE US! Texas satisfied with physical activity in Health. Doing pilates at home and walking dog alone. Put some extra effort by joining the Y and really helped mood and friendships. Expert friend Yankees tell her the cool stuff to do in Texas

16 TARGET POPULATIONS FOR POSITIVE PSYCHOLOGY 46 Provider Types Psychologists Counselors Social Workers Educators Therapists Coaches Nurses Occupational & Physical Therapists Self 47 Provider Settings Psychological Private or Group Practice Individual or Group therapy Medical Cardiac, transplant, bariatric, cancer treatment programs Rehab programs Chemical dependency, chronic pain programs OT Career Employee assistance programs Organization development initiatives Academic/Vocational College and career counseling centers Residential Treatment Criminal offenders/halfway houses Military, Probation/Parole Personal Wellness 48 16

17 Clinical Psychology And Mental Health Applications Couples Therapy--QOLI Exchange Technique MDD GAD Social phobia Panic Caregivers support Chemical dependency Career success Successful intervention outcomes Student support To plan and evaluate retirement pursuits aimed at greater happiness, meaning, and quality of life To help measure successful aging as defined by leaders in the field 49 Medical/Behavioral Medicine/OT Applications Cardiac rehab COPD Kidney Disease Cancer Caregivers Bariatric surgery Chronic Pain and Rehab TBI 50 School Psychology: Strengths-based Assessment-Intervention Approach Assess well-being: QOLI for teens and adults For children s assess: contact huebner@gwm.sc.edu MBF1 Sent to you! : Furlong, M.J., Gilman, R. & Huebner, E. S. (2014). (Eds.), Handbook of positive psychology in the schools (2nd ed.). New York, NY: Routledge

18 POSITIVE PSYCHOLOGY TOOLS AND RESOURCES 52 What You Need To Get Started QOLI materials (Pearson) QOLI STARTER KIT (digital vs. hand-scored) QOLI Handbook: more interventions, short how to y-of-life-inventory-qoli.html Quality of Life Therapy (Frisch 2006) / /qid= /sr=1-1/ref=sr_1_1/ ?v=glance&s=books Incl: 300-page, online Toolbox CD of client exercises you may edit and personalize Scroll down to Downloads section: 53 Where to Find it Pearson Assessments Order online at Call customer service at (7 AM 6 PM) Central Time customer support at clinicalcustomersupport@pearson.com Use 10% Discount Code: (within next 30 days) IE3 [cap letters, case sensitive] 54 18

19 MBF You owe it to all of us to get on with what you are good at! --W.H. Auden 56 Q & A Questions 57 19

20 Websites MBF216 Free Exercises: productcd html Dr. Frisch: Questions? 58 Thank You!! 59 20